PROACTIVE PHYSICAL THERAPY AND WELLNESS LLC
NPI 1982097465
Clinic/Center - Physical Therapy in Fairfax, VA
About Proactive Physical Therapy And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIVE PHYSICAL THERAPY AND WELLNESS LLC (NPI 1982097465) is a healthcare organization registered as a physical therapy in Fairfax, Virginia and active in the NPI registry since March 2015. The organization lists Chavone Johnson, Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Proactive Physical Therapy And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Proactive Physical Therapy And Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Proactive Physical Therapy And Wellness LLC's NPI number?
The NPI number for Proactive Physical Therapy And Wellness LLC is 1982097465. It was assigned to this organization in the NPPES registry on March 9, 2015.
Where is Proactive Physical Therapy And Wellness LLC located?
Proactive Physical Therapy And Wellness LLC is located at 3903 Fair Ridge Dr 211, Fairfax, VA 22033. The listed phone number is (571) 294-3557.
What is Proactive Physical Therapy And Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Proactive Physical Therapy And Wellness LLC enrolled in Medicare?
Yes. Proactive Physical Therapy And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proactive Physical Therapy And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Proactive Physical Therapy And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Proactive Physical Therapy And Wellness LLC was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.